Individual provider Active NPI

Kimberly Carter, NP-C

  • Primary Care Nurse Practitioner
  • Superior, CO
National Provider Identifier
1215458682
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
MSNP-0000006.NP Issued in CO
Practice address
400 S McCaslin Blvd Ste 103
Superior, CO 80027-9701
Phone
(303) 666-7337
NPI assigned
Jul 6, 2017
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X MSNP-0000006.NP CO Primary

Addresses

Primary practice location

400 S McCaslin Blvd Ste 103
Superior, CO 80027-9701

Mailing address

400 S McCaslin Blvd Ste 103
Superior, CO 80027-9701
Phone (303) 666-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260218003227 CO Practitioner - Nurse Practitioner 2466887773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpine Medical Group Colorado PLLCGroup PAC ID 1759743347, 101 clinicians

Practice addresses (Care Compare)

4190 E Woodmen Rd
Suite 100
Colorado Springs, CO 80920-8075
Phone (719) 632-4455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
MSNP-0000006.NPCOMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Medical Group Colorado PLLC Pediatrics CurrentSince Mar 9, 2026 Accepting new patients
Centennial Valley Pediatrics, P.C. Pediatrics CurrentSince Feb 2, 2025 Accepting new patients
Centennial Valley Pediatrics, P.C. Pediatrics PastSince Jan 31, 2021 Accepting new patients

Locations

4190 E Woodmen Rd
Ste 100
Colorado Springs, CO 80920
Phone (630) 328-7971

999 17th St
Ste 500
Denver, CO 80202
Phone (720) 355-0539

400 S McCaslin Blvd
Ste 103
Superior, CO 80027
Phone (303) 319-5283

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1215458682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S MCCASLIN BLVD STE 103",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800279701",
            "telephone_number": "303-666-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MCCASLIN BLVD STE 103",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800279701",
            "telephone_number": "303-666-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KIMBERLY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "MSNP-0000006.NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, CO

Sources for this page

Verify at the official NPI Registry.